Individual provider · Type 1 NPI

Shivell Gardener

Student in an Organized Health Care Education/Training Program · Plainview, NY

NPI number 1003469164 Active

Practice location

55 W Ames Ct Ste 100
Plainview, NY 11803-2304

Call (516) 822-6111 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003469164

Shivell Gardener's National Provider Identifier is 1003469164, issued on Jul 18, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plainview, NY. The record was last updated on Jul 18, 2019.